从儿科过渡到成人科护理:单中心经验计划报告
Andrey V Cybulsky1, Leonor Cercena1, Paul R Goodyer2
1Department of Medicine, McGill University Health Centre Research Institute, McGill University, Montreal, QC, Canada.
Canadian journal of kidney health and disease
|August 11, 2023
概括
一个专门的青少年到成人脏学过渡诊所成功管理了患有脏疾病的年轻患者,最大限度地减少了随访损失,并改善了护理协调. 该模型提供了一个专用流程,用于无过渡和专家患者管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内部医学 内部医学
- 儿科 儿科 儿科
背景情况:
- 患有慢性病的青少年和年轻人面临着从儿科到成人护理的障碍.
- 这些障碍包括社会情感问题,照顾者依赖,缺乏知识和护理协调不佳.
- 这可能导致不遵守,失去随访,以及不良的健康结果.
研究的目的:
- 建立和评估一个专门的青少年到成人科过渡诊所.
- 为了解决障碍,并确保病的年轻患者的无过渡.
- 通过协调护理来改善健康结果.
主要方法:
- 建立了一个专门的过渡诊所,有一个单一的入口点,分类和随访成人科医生.
- 一位专门的临床护士提供了疾病特定的教育和患者参与.
- 患者被整合到常规的成人脏病诊所时段,以进行高效的随访.
主要成果:
- 在2007年至2022年期间,评估了213名患者.
- 58%的患者继续进行随访,只有15%的患者失去了随访.
- 患有淋巴细胞突炎的患者血清肌素水平稳定,病率低.
结论:
- 使用适度资源的专用过渡过程可以确保准确的数据跟踪和可靠的患者随访.
- 诊所提供专家护理,尤其是对于罕见病患者.
- 这种模式支持在过渡到成人服务期间的一致和专业的患者护理.
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